Hospital Bed - MEDICAID - LOUISIANA
HUMANA-HOSPITAL-BED-LA-MEDICAID
Covers medically necessary hospital beds (including pediatric, semi‑electric and total electric models and associated mattresses as part of the bed) for Louisiana Medicaid members who cannot be accommodated by an ordinary bed—commonly patients under 21 or those with requirements such as positioning needs (e.g., head elevation >30° or aspiration risk), stage 3–4 pressure ulcers, frequent/urgent position changes, unsafe mobility, or caregiver inability to provide safe transfers. Coverage requires prior authorization and detailed clinical documentation (including wound status, prior treatments, nutrition labs), demonstration that less costly alternatives were tried and failed, and strict adherence to all listed hospital‑bed criteria; ordinary beds, convenience/restraint uses, and items not meeting criteria are excluded.
"Member must be alone for extended periods of time, require frequent/immediate position changes, and be able to operate bed controls independently — if these conditions are not met, criteria for the..."